Effects of Resilience, Post-traumatic Stress Disorder on the Quality of Life in Patients with Breast Cancer

Boo Young Ha; Eun Jung Jung; So Young Choi

doi:10.4069/kjwhn.2014.20.1.83

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Ha, Jung, and Choi: Effects of Resilience, Post-traumatic Stress Disorder on the Quality of Life in Patients with Breast Cancer

Original Article

Korean Journal of Women Health Nursing 2014; 20(1): 83-91.

Published online: 31 March 2014

DOI: https://doi.org/10.4069/kjwhn.2014.20.1.83

Effects of Resilience, Post-traumatic Stress Disorder on the Quality of Life in Patients with Breast Cancer

Boo Young Ha¹, Eun Jung Jung², So Young Choi³

¹Department of Nursing, Samsung Changwon Hospital, Changwon, Korea.

²Department of Surgery, Post-graduated School of Medicine, Gyeongsang National University, Jinju, Korea.

³College of Nursing · Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Corresponding author: Choi, So Young. College of Nursing, Gyeongsang National University, 92 Chilam-dong, Jinju 660-751, Korea. Tel: +82-55-772-8241, Fax: +82-55-772-8209, csy4214@hanmail.net

Received 3 February 2014 Revised 26 February 2014 Accepted 10 March 2014

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to identify relationships of resilience, Post-Traumatic Stress Disorder(PTSD), and quality of life of breast cancer patients. The findings from this study would provide baseline data needed for nursing intervention.

Methods

A sample of 129 breast cancer patients was recruited from three hospitals in J and C cities in Korea. The survey was conducted with participants by utilizing self-reported questionnaires.

Results

Quality of life showed statistically significant differences on religion (t=2.11, p=.033) and hobby (t=2.79, p=.006). Resilience and PTSD had a negative correlation (r=-.22, p=.010). Resilience and quality of life of the participants had a positive correlation (r=.58, p<.001), whereas PTSD and quality of life had a negative correlation (r=-.45, p<.001). Significant predictors of quality of life were resilience and PTSD. These variables explained 44.9% of the variance in quality of life.

Conclusion

Findings indicate that as resilience of breast cancer patients rose higher and PTSD got lower, their quality of life increased. Based on these results, nursing interventions directed towards improving resilience and relieving PTSD is proposed.

Keywords: Resilience, Breast cancer, Post-Traumatic Stress Disorder (PTSD), Quality of life

Figures and Tables

Table 1

Difference in Quality of Life according to Subjects' Characteristics (N=129)

Table 2

Level of Resilience, Post-Traumatic Stress Disorder, and Quality of Life (N=129)

PTSD=post-traumatic stress disorder.

Table 3

Relationships among Resilience, Post-Traumatic Stress Disorder, and Quality of Life (N=129)

QoL=quality of life. PTSD=post-traumatic stress disorder.

Table 4

Influencing Factors on Quality of Life (N=129)

PTSD=post-traumatic stress disorder.

Notes

This article is a conducted form the first author's master thesis from Gyeongsang Ntional University.

Summary Statement

▪ What is already known about this topic?

Resilience and quality of life and become increasingly relevant in cancer patents.

In survivors of adults cancers, post-traumatic stress disorder(PTSD) were negatively associated with quality of life.

▪ What this paper adds?

While resilience and PTSD have a negative correlation, resilience and quality of life are positively correlated, and PTSD and quality of life are nagatively correlated. Significant predictors of quality of life were resilience and PTSD.

▪ Implications for practice, education and/or policy

This study could form the basis for developing and applying nursing interventions to improve resilience and to relieve PTSD. Nurses should screen breast cancer patents with PTSD.

Promoting optimum quality of life in breast cancer patients, strategies for preventing PTSD and increasing resilience are needed.

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